IRS Form 941

Form 941 is used by employers to report the applying entity’s federal withholding on a quarterly basis. It is used by PPP lenders to verify payroll expenses and must account for a continuous year of information (last 4 quarters).

The form_type parameter TAX_941 for the Upload PDF endpoint is required for this Form Type.

Optional fields captured

📘

Configuration-driven output

All fields below are optionally captured, depending on your order form. To adjust fields captured, please speak with your Ocrolus Account Manager.

JSON attribute

Data type

Description

tax_941-General:taxFormYear

Text

Numerical description of the Form's pre-printed year, e.g. "2020" for a 2020 Q1 form.

tax_941-General:name

Text

Official name of the applying entity

tax_941-General:tradeName

Text

"Doing business As" or other trade name affiliated with applying entity

tax_941-General:address:numberAndStreet

Text

Street address of the entity

tax_941-General:address:suiteOrRoomNumber

Text

Office number or suite number of the applying entity

tax_941-General:address:city

Text

City of applying entity

tax_941-General:address:state

Text

State the applying entity resides in, Formatted as a 2 character state code

tax_941-General:address:zip

Text

5 digit zip code in which applying entity resides

tax_941-General:address:foreignCountryName

Text

Default is_empty = TRUE, Country from which applying entity resides if not USA

tax_941-General:address:foreignPostalCode

Text

Default is_empty = TRUE. International postal code applying entity resides in if not USA

tax_941-General:address:foreignProvince/Country

Text

Default is_empty = TRUE. International address of applying entity if not in USA

tax_941-General:employerIdentificationNumber(Ein)

Text

9 digit string representing applying entity's tax ID

tax_941-General:reportForTheQuarterOf2020

  • 1 JANUARY FEBRUARY MARCH
  • 2 APRIL MAY JUNE
  • 3 JULY AUGUST SEPTEMBER
  • 4 OCTOBER NOVEMBER DECEMBER

Quarter from which this tax document applies

tax_941-Part1:line1

Text

Number of people employed by applying entity

tax_941-Part1:line2

Money

Total amount in wages paid out by applying entity to employees for the quarter

tax_941-Part1:line3

Money

Entity's quarterly federal income tax withheld amount

tax_941-Part1:line4

CHECKED
NOT CHECKED

Default is_empty = TRUE.

tax_941-Part1:line5A:column1

Money

Entity's quarterly taxable Social Security wages

tax_941-Part1:line5A:column2

Money

Entity's quarterly taxable Social Security wages

tax_941-Part1:line5B:column1

Money

Entity's quarterly taxable Social Security tips

tax_941-Part1:line5B:column2

Money

Entity's taxable Social Security tips

tax_941-Part1:line5C:column1

Money

Entity's taxable Medicare wages

tax_941-Part1:line5C:column2

Money

Entity's taxable Medicare wages

tax_941-Part1:line5D:column1

Money

Entity's taxable wages and tips

tax_941-Part1:line5D:column2

Money

Entity's taxable wages and tips

tax_941-Part1:line5E

Money

Calculated Field leveraging 5a-5d

tax_941-Part1:line5F

Money

Entity's taxes due on unreported tips

tax_941-Part1:line6

Money

Entity's total taxes before adjustments

tax_941-Part1:line7

Money

Current quarter adjustments for Entity

tax_941-Part1:line8

Money

Sick pay adjustments

tax_941-Part1:line9

Money

Tips and group term adjustments

tax_941-Part1:line10

Money

Calculated field leveraging line6-line9

tax_941-Part1:line11

Money

Entity's federal small business payroll tax credits

tax_941-Part1:line12

Money

Calculated field between line11, line12

tax_941-Part1:line13

Money

Entity's total deposits for the quarter

tax_941-Part1:line14

Money

Calculated field between line12, line13

tax_941-Part1:line15:checkOne

APPLY TO NEXT RETURN
SEND A REFUND

Entity's over payment of taxes, if applicable

tax_941-Part1:line15:overpayment

Money

Default is_empty = TRUE, Overpayment amount

tax_941-Part2:line16:checkOne

  • LINE 12 ON THIS RETURN IS LESS THAN $2500 OR LINE 12 ON THE RETURN FOR THE PRIOR QUARTER WAS LESS THANK $2500
  • YOU WERE A MONTHLY SCHEDULE DEPOSITOR FOR THE ENTIRE QUARTER
  • YOU WERE A SEMIWEEKLY SCHEDULE DEPOSITOR FOR ANY PART OF THIS QUARTER.

Deposit schedule information

tax_941-Part2:line16-TaxLiability:month1

Money

Entity's tax liability for first month of quarter

tax_941-Part2:line16-TaxLiability:month2

Money

Entity's tax liability for second month of quarter

tax_941-Part2:line16-TaxLiability:month3

Money

Entity's tax liability for third month of quarter

tax_941-Part2:totalLiabilityForQuarter

Money

Entity's aggregate liability for the quarter

tax_941-Part3:line17-BusinessHasClosedOrYouStoppedPayingWages

CHECKED
NOT CHECKED

Entity's Business Information

tax_941-Part3:line17-FinalDateYouPaidWages

Date

Date applying entity stopped paying wages.

tax_941-Part3:line18-SeasonalEmployee

CHECKED
NOT CHECKED

If applying entity is a seasonal business

tax_941-Part4:doYouWantToAllowAnEmployee

YES
NO

Third Party Designee

tax_941-Part4:designeeIrsPin

Text

5 digit pin of designee

tax_941-Part4:designeeNameAndPhoneNumber:name

Text

Designated employee name

tax_941-Part4:designeeNameAndPhoneNumber:phoneNumber

Text

Designated employee phone number. Formatted (XXX) XXX-XXXX

tax_941-Part5:bestDaytimePhone

Text

Best phone number to reach designated employee. Formatted (XXX) XXX-XXXX

tax_941-Part5:name

Text

Entity's Signatory

tax_941-Part5:title

Text

Title of Signatory

tax_941-Part5:signature

SIGNED
NOT SIGNED

"SIGNED" / "NOT SIGNED" determine if a signature was found on the application

tax_941-Part5:signatureDate

Date

Date of the Entity's signatory's signature

tax_941-Part5:preparer-Address:addressLine1

Text

Address of tax document preparer

tax_941-Part5:preparer-Address:city

Text

City of tax document preparer

tax_941-Part5:preparer-Address:state

Text

State in which the tax document preparer resides. Formatted 2 character state code

tax_941-Part5:preparer-Address:zip

Text

5 digit zip code of preparer's address

tax_941-Part5:preparer-CheckIfYouAreSelfEmployed

CHECKED
NOT CHECKED

If preparer of tax document is self employed

tax_941-Part5:preparer-Ein

Text

Preparer's EIN

tax_941-Part5:preparer-FirmName(OrYoursIfSelf-Employed)

Text

Firm that employs the tax document preparer

tax_941-Part5:preparer-Name

Text

Name of the individual preparing this tax document

tax_941-Part5:preparer-Phone

Text

Phone number of preparer. Formatted (XXX) XXX-XXXX

tax_941-Part5:preparer-Ptin

Text

tax_941-Part5:preparer-Signature

SIGNED
NOT SIGNED

"SIGNED" / "NOT SIGNED" determine if a signature was found on the application

tax_941-Part5:preparer-SignatureDate

Date

Date of the tax document preparer's signature.

tax_941-941-V:line1-EmployerIdentificationNumber(Ein)

Text

9 digit Employee identification number

tax_941-941-V:line2-EnterTheAmountOfYourPayment:cents

Text

Number representing dollar value of payment

tax_941-941-V:line2-EnterTheAmountOfYourPayment:dollars

Text

Number representing cent value of payment

tax_941-941-V:line3-TaxPeriod

1ST QUARTER
2ND QUARTER
3RD QUARTER
4TH QUARTER

Quarter for which this voucher applies

tax_941-941-V:line4-Address:addressLine1

Text

Address of voucher holder company

tax_941-941-V:line4-Address:city

Text

City of voucher holder company

tax_941-941-V:line4-Address:state

Text

State in which voucher holder resides

tax_941-941-V:line4-Address:zip

Text

5 digit ZIP code of voucher company

tax_941-941-V:line4-EnterYourBusinessName(IndividualNameIfSoleProprietor)

Text

Business Name of voucher holder

Sample form

The below Ocrolus sample PDF (input) matches the below sample JSON result (output).

Sample JSON result

{
  "form_type": "TAX_941",
  "pk": 4580798,
  "form_config_pk": 1390,
  "raw_fields": {
     "tax_941-General:taxFormYear": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "2020"
    },
    "tax_941-General:employerIdentificationNumber(Ein)": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "12-3456789"
    },
    "tax_941-General:name": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "OCROLUS INC."
    },
    "tax_941-General:tradeName": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:numberAndStreet": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "101 GREENWICH STREET"
    },
    "tax_941-General:address:suiteOrRoomNumber": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:city": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NEW YORK"
    },
    "tax_941-General:address:state": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NY"
    },
    "tax_941-General:address:zip": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "10006"
    },
    "tax_941-General:address:foreignCountryName": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:foreignProvince/Country": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:foreignPostalCode": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:reportForTheQuarterOf2020": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1 JANUARY, FEBRUARY, MARCH"
    },
    "tax_941-Part1:line1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "100"
    },
    "tax_941-Part1:line2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line3": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "180000.00"
    },
    "tax_941-Part1:line4": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part1:line5A:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5A:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "124000.00"
    },
    "tax_941-Part1:line5B:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5B:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "124000.00"
    },
    "tax_941-Part1:line5C:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5C:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "29000.00"
    },
    "tax_941-Part1:line5D:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5D:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "9000.00"
    },
    "tax_941-Part1:line5E": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "286000.00"
    },
    "tax_941-Part1:line5F": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line6": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line7": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line8": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line9": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line10": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line11": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line12": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line13": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line14": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line15:checkOne": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "APPLY TO NEXT RETURN"
    },
    "tax_941-Part1:line15:overpayment": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part2:line16:checkOne": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "YOU WERE A MONTHLY SCHEDULE DEPOSITOR FOR THE ENTIRE QUARTER"
    },
    "tax_941-Part2:line16-TaxLiability:month1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:line16-TaxLiability:month2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:line16-TaxLiability:month3": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:totalLiabilityForQuarter": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "460000.00"
    },
    "tax_941-Part3:line17-BusinessHasClosedOrYouStoppedPayingWages": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part3:line17-FinalDateYouPaidWages": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part3:line18-SeasonalEmployee": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part4:designeeIrsPin": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part4:doYouWantToAllowAnEmployee": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NO"
    },
    "tax_941-Part4:designeeNameAndPhoneNumber:name": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part4:designeeNameAndPhoneNumber:phoneNumber": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:bestDaytimePhone": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "(646) 850-9090"
    },
    "tax_941-Part5:name": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "SIGNATOR"
    },
    "tax_941-Part5:title": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "VP FINANCE"
    },
    "tax_941-Part5:signature": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT SIGNED"
    },
    "tax_941-Part5:signatureDate": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Name": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-FirmName(OrYoursIfSelf-Employed)": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:adress": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:city": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:state": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:zip": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-CheckIfYouAreSelfEmployed": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Ein": {
      "alias_used": null,
      "is_empty": true,
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  },
  "tables": []
}

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